| NPI | 1225743651 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY KUO Owner 808-379-6656 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 103T00000X Psychologist | |
| 1041C0700X Social Worker Clinical | |
| 106H00000X Marriage & Family Therapist | |
| 364SP0807X Clinical Nurse Specialist Psychiatric/Mental Health, Child & Adolescent | |
| Enumeration Date | 2023-01-19 |
| Last Update Date | 2023-01-19 |